Which diagnosis is NOT likely to alter urinary elimination?

Viral meningitis is primarily a central nervous system infection that affects the meninges, the protective membranes covering the brain and spinal cord. While it can cause a variety of neurological symptoms such as headache, fever, and neck stiffness, its impact on urinary elimination is generally minimal. Meningitis does not directly affect the structures or functions involved in urine production or bladder control.

In contrast, the other conditions listed have more significant effects on urinary elimination. Benign prostatic hyperplasia leads to urinary obstruction in males due to prostate enlargement, causing issues such as difficulty initiating urination, weak stream, or increased frequency of urination. Chronic kidney disease impacts kidney function and can lead to alterations in urine output and composition due to decreased glomerular filtration. Coronary artery disease, while primarily a cardiovascular issue, can also lead to renal complications indirectly, such as in cases of heart failure impacting renal perfusion, thus potentially affecting urinary output.

Therefore, considering the mechanisms and primary symptoms associated with viral meningitis, it is less likely to alter urinary elimination compared to the other listed diagnoses.